Debra E. Lake, DMD

General Practice Dentistry · Corinth, KY

Individual Active NPI

NPI number 1275673444

Practice location

530 Doe Run Rd
Corinth, KY 41010-6007
Phone
(218) 565-1483

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NPI record

NPI
1275673444
Entity type
Individual (Type 1)
Enumeration date
February 7, 2007
Last updated
January 16, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8024 KY
Dentist 122300000X 5569-015 WI
Dentist 122300000X DN 13258 FL

About Dr. Lake

Debra E. Lake, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 530 Doe Run Rd, Corinth, KY 41010-6007. The NPI number 1275673444 was assigned on February 7, 2007 and the record was last updated on January 16, 2017.

Dr. Lake lists 3 licenses in the registry: #8024 (KY) for General Practice Dentistry; #5569-015 (WI) for Dentist; #DN 13258 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra E. Lake, DMD?

The NPI number is 1275673444.

What is the phone number of Dr. Lake?

The phone number listed for the practice location is (218) 565-1483.

Where is Dr. Lake located?

530 Doe Run Rd, Corinth, KY 41010-6007.

What is the taxonomy code for Dr. Lake?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.